81 results for “metabolic disease”
3y · Male·thrombotic microangiopathy
… Frankston Hospital was appropriate, with escalation of care when symptoms worsened, including infectious disease consultation, IV fluids, and antibiotics. While earlier clinical review on the afternoon of 6 October wou…
59y · Male·multiorgan failure complicating paracetamol toxicity
David James Dorling, a 59-year-old man with multiple sclerosis, ischaemic heart disease, and diabetes, ingested 90-100 paracetamol tablets on 1 February 2024 with suicidal intent. He attended c…
46y · Female·combined effects of aspiration pneumonia due to gastroparesis following sleeve g…
…om aspiration pneumonia due to gastroparesis following sleeve gastrectomy, complicated by ischaemic heart disease. Post-operative recovery was beset with persistent vomiting, dehydration, and electrolyte disturbances fr…
0y · Male·Global hypoxic brain necrosis as a result of non-accidental violent shaking of t…
…led subdural haemorrhage, retinal haemorrhages, and bruising consistent with violent shaking, not natural disease or metabolic disorder. Despite circumstantial evidence, uncertainty about timing and who was present at c…
29y · Male·cardiac arrhythmia triggered by myocardial ischaemia arising from physical exert…
…y myocardial ischaemia following a police struggle at his home. He had undiagnosed severe coronary artery disease (75-90% narrowing), morbid obesity, hypertension, smoking history, prior methamphetamine use, and probabl…
31y · Male·Undetermined
…evealed severe premature coronary atherosclerosis. Death was undetermined, likely multifactorial (cardiac disease, methylamphetamine intoxication, physical/psychological stress, sedation). Paramedics failed to conduct a…
51y · Male·combined effects of dilated cardiomyopathy with myocardial fibrosis and prescrip…
Jacob MacDonald, 51, died at the Forensic Hospital from combined effects of dilated cardiomyopathy with myocardial fibrosis and toxic levels of clozapine and aripiprazole. He was an involuntary forensic psychiatric patie…
43y · Female·Hypoxic ischaemic encephalopathy secondary to out of hospital cardiac arrest due…
…s Frost Centre. She had presented to ED 5 months earlier with leg ulcers but was not screened for cardiac disease despite risk factors (smoking, intravenous drug use). No cardiac murmur was documented, and she had no kn…
52y · Male·clozapine toxicity
…ation (45mg/kg) was in the lethal range. Post-mortem findings showed cardiac failure with coronary artery disease, pulmonary oedema, and liver congestion. Evidence suggests heart failure caused hepatic impairment, reduc…
30y · Female·Hypoxic ischaemic encephalopathy complicating cardiac arrest of unknown aetiolog…
…st-dose monitoring must be explicitly arranged and documented when departing from standard practice; (3) metabolic syndrome and obesity must be identified early and managed holistically; (4) Aboriginal prisoners require…
57y · Male·Mixed drug toxicity, predominantly propoxyphene (Doloxene)
A 57-year-old man died from mixed drug toxicity, predominantly propoxyphene (Doloxene), combined with benzodiazepines. His GP of 13 years prescribed Doloxene for 10 years despite documented alcohol abuse history, which w…
56y · Male·Hypoxic ischaemic encephalopathy following cardiac arrest
… respiratory pathology: myocardial fibrosis with mural thrombus, pulmonary thromboembolism, chronic liver disease with portal hypertension, and pulmonary fibrosis. The sequence of events—whether primary cardiac arrhythm…
83y · Male·Drowning in a man with ischaemic heart disease
An 83-year-old man with significant cardiac history (triple bypass grafts, ischaemic heart disease) died from drowning while paddling a surf ski. He was not wearing a personal flotation device (PFD) despi…
77y · Female·Complications of malnutrition in a woman with paranoid delusions
A 77-year-old woman with complex medical and psychiatric history died from complications of malnutrition while an inpatient with paranoid delusions and delirium. She was admitted following falls and required compulsory t…
71y · Male·Multi organ failure due to post-operative bleeding following endoluminal thoraci…
…Vincent's Private Hospital on 1 December 2008. He developed post-operative instability with hypotension, metabolic acidosis, acute renal failure and coagulopathy. Re-angiography at 10pm on 2 December identified a renal …
62y · Female·hyponatremia (low sodium level 114mmol/L) resulting in seizure, with aspiration …
…cooperation is poor, are important; (4) symptoms attributed to psychiatric illness may actually indicate metabolic derangement. The coroner found no fault with care but recommended elevated awareness of SSRI-related hyp…
81y · Female·aspiration pneumonia on a background of severe dysphagia and right hemiplegia
An 81-year-old woman with severe dysphagia and right hemiplegia from previous stroke died of aspiration pneumonia after vomiting while sleeping following PEG feeding. She was subject to guardianship and detention under t…
63y · Male·Unascertained - natural causes. Cardiac arrest with secondary hypoxic-ischaemic …
… to cardiac arrest but could not definitively establish the cause of arrest, despite finding some natural disease including coronary artery stenosis, cardiac valve fenestrations, and bronchopneumonia. The coroner found …
64y · Male·Unascertained natural causes
… consciousness, and could not be resuscitated despite prompt CPR. Autopsy revealed no significant natural disease, though likely food aspiration was noted. The cause of death was determined to be unascertained natural c…
57y · Male·Multiple Organ Failure and Intra-Abdominal Haemorrhage following Cholecystectomy
… hours. Despite escalation to high-dependency care and ED review, he deteriorated rapidly overnight with metabolic acidosis and renal failure. He was transferred to ICU at a tertiary hospital on day 2 but died from mult…
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